Nurses' allocation models for maternal and child health services

Maternal and Child Health (MCH) centres in Hong Kong offer, for children aged below six and women of childbearing age, a comprehensive range of health services regularly performed by nurses of different ranks. While each rank has its specific duties, nurses of a higher rank can step down to the work of a more junior rank when necessary. However, cross-regional deployments of nurses occur less frequently. We develop goal programming models of ‘optimal’ MCH nurses' allocation. The presence and absence of nurses' ‘cross-over’ of work functions are explicitly considered. The results show that more equitable manpower levelling can be achieved, with flexibility (in the longer term) on cross-regional deployment of nurses as a possible way of operational improvement when the entire MCH service is taken as a whole.